GREENWOOD MOLECULAR BIOLOGY FACILITY

UNIVERSITY OF HAWAII AT MANOA

3050 Maile Way, Gilmore Hall 411, Honolulu, HI 96822

Phone: (808) 956-6718     Fax: (808) 956-9589     E-mail: biotech@hawaii.edu

GENECHIP PROBE ARRAY FORM

PRIMARY INVESTIGATOR: _________________________________   DATE: _________________

YOUR NAME: ____________________________________________   DEPARTMENT: __________

ADDRESS:     _____________________________________________________________________

_____________________________________________________________________

PHONE: _______________   FAX:  ______________    E-MAIL: _____________________________

PURCHASE ORDER/REQUISITION NUMBER: __________________________________________

BILLING ADDRESS:  _______________________________________________________________

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Investigators are responsible for ordering their Affymetrix chips. You can bring them to the Facility when submitting samples

Users should provide purified cDNA or RNA. For best results, use either 2-5 µg polyA⁺mRNA or 20-50 µg total RNA as

starting material in your cDNA synthesis or bring the same amount to the Facility for processing.

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Starting Material Type:     Total RNA ______     polyA+ mRNA ______     cDNA ______

1. Sample Name:  ________________________     2. Sample Name:  ________________________

    Affimetrix GeneChip Type:  _______________          Affimetrix GeneChip Type:  _______________

    μg of Starting Material:  __________________          μg of Starting Material:  __________________

3. Sample Name:  ________________________     4. Sample Name:  ________________________

    Affimetrix GeneChip Type:  _______________          Affimetrix GeneChip Type:  _______________

    μg of Starting Material:  _________________            μg of Starting Material:  __________________

5. Sample Name:  ________________________     6. Sample Name:  ________________________

    Affimetrix GeneChip Type:  _______________          Affimetrix GeneChip Type:  _______________

    μg of Starting Material:  _________________            μg of Starting Material:  __________________

SPECIAL INSTRUCTIONS:  __________________________________________________________

DATA DELIVERY:

CD-R or CD-RW (must provide) ______     PC ZIP disk (must provide) ______

DAT file ______     XLS file ______     Report file ______     Image file ______

SIGNATURE:  _________________________________________